Fill out the form, then print it and post it (with your donation if appropriate) to: Voluntary Help Centre, Stella Peskett Millennium Hall, Mights Road, Southwold IP18 6BE
If you are sending a cheque, it should be made out to "Southwold VHC"

Voluntary Help Centre

To Southwold Voluntary Help Centre


I would like to make a one-off donation (If so please simply send this form with your donation)

I would like to make a regular donation (If so please also fill out and send the Bankers' Order Form - see link at the end of this form)


1. I do not pay income tax so my donations should not be treated as Gift Aid Donations

2. I pay income tax or capital gains tax at a rate at least equal to the tax deducted from my donation. Please treat my donations as Gift Aid Donations. *(Your signature below confirms this and enables us to claim back the tax you have already paid, effectively giving us an extra 28p for every pound you donate.)

Signature ..................................................................... (PLEASE REMEMBER TO SIGN WHEN YOU HAVE PRINTED THE FORM)


Name in full

Address line 1

Address line 2


County Postcode




i. At any time you may notify Southwold VHC that you wish to cancel this decalaration

ii There is no requirement for this declaration to be renewed

iii. You must notify Southwold VHC if your circumstances change and you no longer pay Income Tax (or Capital Gains Tax) equal to the tax deducted from these donations

If you wish to make regular donations, please tick here for a Bankers' Order form.

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